NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A client is scheduled for an upper Gl series. The nurse determines further education is needed when the client states:
      A)
      "I know I have to drink a lot of water after the test."
      B)
      "I will not be able to eat or drink anything the night before the test."
      C)
      "I will smoke a cigarette before the test to help calm my nerves."
      D)
      "I know my stool will be light in color for a couple days after the test."
    2. The healthcare provider prescribes nystatin oral suspension to treat a client's candidiasis. When administering the nystatin, the nurse tells the client to:
      A)
      drink the medication through a straw.
      B)
      swish the medication around in the mouth.
      C)
      dilute the medication with cold water.
      D)
      brush the teeth after using the medication.
    3. If gastroesophageal reflux disease (GERD) is left untreated, serious changes in the esophageal lining may develop, placing the client at an increased risk of developing which condition?
      A)
      Ulcerative colitis
      B)
      Skin cancer
      C)
      Gastroenteritis
      D)
      Esophageal cancer
    4. A client with epigastric pain is scheduled for an upper GI series. Which client statement indicates understanding of the procedure?
      A)
      "I will have to swallow barium."
      B)
      "A flexible tube will be inserted into my stomach."
      C)
      "I cannot have the test done if I am claustrophobic."
      D)
      "Dye will be injected into my vein before the test."
    Page 1 of 13

    Exam Review

    1. When cleaning the skin around a client's stoma, which technique is appropriate?
      A)
      Swabbing the surrounding skin with 70% alcohol
      B)
      Cleaning the area with povidone-iodine
      C)
      Scrubbing the surrounding skin with peroxide
      D)
      Cleaning the area with water and a clean cloth
    2. What is the purpose of antibiotic therapy in treating clients with peptic ulcer disease (PUD)?
      A)
      Antibiotics eliminate a microorganism called helicobacter pylori
      B)
      Antibiotics add a protective coating over the ulcerated mucosa
      C)
      Antibiotics prevent secondary gastrointestinal infections
      D)
      Antibiotics heal the irritated mucous membrane of the stomach
    3. The provider restricts a client's diet to include only clear liquids. When the client asks for something to eat, which foods are MOST appropriate for the nurse to provide? (Select all that apply.)
      (SATA)
      A)
      Vanilla pudding
      B)
      Orange juice
      C)
      Ginger ale
      D)
      Chicken broth
      E)
      Gelatin
    4. A client complains of intermittent, gnawing epigastric pain. Which finding suggests the client's symptoms may be related to a peptic ulcer?
      A)
      Emesis that is positive for pepsin
      B)
      Blood that is positive for glucose
      C)
      Urine that is positive for albumin
      D)
      Stool that is positive for blood
    Page 2 of 13

    Exam Review

    1. A client is diagnosed with clostridium difficile. Which order would the nurse QUESTION?
      A)
      Administer antidiarrheal medication
      B)
      Provide intravenous electrolyte replacement
      C)
      Encourage fluids as tolerated
      D)
      Initiate contact isolation
    2. The nurse is caring for a client scheduled for an esophagogastroduodenoscopy (EGD). Which nursing intervention should be included in the client's plan of care?
      A)
      Withhold all medications the night before the exam
      B)
      Allow the client to smoke just prior to testing to decrease anxiety
      C)
      Allow the client to drink fluids up to 2 hours before the examination
      D)
      Maintain NPO status until the gag reflex returns post-procedure
    3. A client had a perforated diverticulum and has undergone a bowel diversion called a Hartmann's procedure. The nurse knows the purpose of a Hartmann's procedure is to:
      A)
      allow for more thorough irrigation.
      B)
      provide two stomas for fecal elimination.
      C)
      prevent chronic constipation.
      D)
      allow healing of the bowel.
    4. The oncoming nurse is receiving report which includes assessment findings of the client's ileostomy stoma. Which description of the stoma would the oncoming nurse interpret as a normal finding?
      A)
      Pink/red with a shiny appearance
      B)
      Pale pink, cool, and dry
      C)
      Dusky blue located slightly below the skin
      D)
      Dark tan with no drainage or bleeding
    Page 3 of 13

    Exam Review

    1. While the client is awaiting an appointment with the healthcare provider for symptoms related to gastroesophageal reflux disease (GERD), which nursing instruction is helpful for providing relief from what the client is experiencing?
      A)
      "Eat only foods that are easy to swallow."
      B)
      "Avoid lying down after eating."
      C)
      "Eat three large meals a day."
      D)
      "Eat only foods that are easy to swallow."
    2. The healthcare provider places an order for a colonoscopy. The nurse would question this order if the client had which condition?
      A)
      Diverticulitis
      B)
      Constipation
      C)
      Irritable bowel syndrome
      D)
      Stomach cancer
    3. The goal of inserting a nasogastric tube to relieve abdominal distention and remove secretions from the gastrointestinal tract is:
      A)
      decompression.
      B)
      lavage.
      C)
      gavage.
      D)
      compression.
    4. Which assessment finding would the nurse expect in a client diagnosed with oral candidiasis?
      A)
      Red, ulcerated patches along the gumline
      B)
      Clear, shiny vesicles throughout the mouth
      C)
      Red, firmly attached plaques along the side of the tongue
      D)
      White, curd-like patches throughout the mouth and tongue
    Page 4 of 13

    Exam Review

    1. Your patient is complaining of substernal burning sensation that radiated into the neck and jaw. He says, "I think it is heartburn, can I get some TUMS?" The proper next step is:
      A)
      Check vital signs and conduct a further assessment of the pain
      B)
      Give the patient his PRN calcium carbonate tablets (TUMS)
      C)
      Give the patient morphine for pancreatitis
      D)
      Tell the patient that you will call the provider and get an order for pantoprazole
    2. The hospitalized client who contracted Clostridium difficile should be considered for which PRIORITY patient problem?
      A)
      Altered body image
      B)
      Ineffective tissue perfusion
      C)
      Fluid volume deficit
      D)
      Risk for infection
    3. A client has recently been diagnosed with celiac disease. Which client statement indicates a need for further instruction?
      A)
      "There is no cure for my disease."
      B)
      "I will need to have surgery in order to repair the damage to my intestine."
      C)
      "My children are at a higher risk for developing celiac disease since I have it."
      D)
      "I will need to eliminate foods containing wheat flour from my diet."
    4. This bacterium is associated with the development of gastric and duodenal ulcers:
      A)
      Helicobacter pylori.
      B)
      Staphylococcus aureus.
      C)
      Clostridium difficile.
      D)
      Escherichia coli.
    Page 5 of 13

    Exam Review

    1. Which drug classification would the nurse expect a client newly diagnosed with a duodenal ulcer to be prescribed?
      A)
      A laxative with a stool softener
      B)
      An over-the-counter antacid
      C)
      A proton pump inhibitor
      D)
      A phenothiazine
    2. Which statement made by a client taking an H2-receptor blocker for peptic ulcer disease leads the nurse to suspect the client needs additional teaching regarding this class of drugs?
      A)
      "I will report any unusual bleeding or signs of infection."
      B)
      "This type of drug may cause dizziness."
      C)
      "This drug may cause osteoporosis."
      D)
      "I will avoid smoking while taking this drug."
    3. A client with a peptic ulcer who has been prescribed sucralfate asks the nurse to explain how this drug works to heal the ulcer. What is the nurse's BEST response?
      A)
      "This drug works by providing a protective layer over the ulcer."
      B)
      "This drug works by preventing the secretion of gastric acids."
      C)
      "This drug works by neutralizing gastric acid in the stomach."
      D)
      "This drug works by blocking the H2-receptor for gastric secretions."
    4. What problems may a client with nausea and vomiting be at risk for? (Select all that apply.)
      A)
      Weight loss
      B)
      Electrolyte imbalance
      C)
      Dehydration
      D)
      Fluid retention
    Page 6 of 13